Pressure between veneers radiating though bones

Question

A few years back I had 1 crown w/ post and 3 Veneers put in. Since have them installed I feel a pressure between two of them that radiates up through the bone. When I clinch my teeth i feel the pressure between the crown and the veneer. I think they were placed to tightly. I can barely floss between the two teeth. Is there a tool that can relieve the pressure between the two teeth? My dentist has not provided me with a solution and the constant pressure/ feeling is causing me to go mad.

Steven Davidowitz, DDS · Answer

The sensation of pressure between a dental crown and veneer can indeed be distressing. It's possible that there is excessive contact or tight spacing between the crown and veneer, which can create discomfort. To address this, dentists can perform an adjustment of the contact points between the crown and veneer, which involves fine-tuning the interproximal space to alleviate the tightness and allow for proper flossing. Additionally, using waxed floss or an interdental file might provide temporary relief at home, but it's crucial to be gentle to avoid any damage. An occlusal adjustment might also be necessary if the pressure is felt when clenching the teeth. This process adjusts the bite to relieve tension. Consulting with a specialist, such as a cosmetic dentist, who has extensive experience with crowns and veneers, could be beneficial. They can assess the fit, ensure proper spacing, and address any occlusal issues to improve comfort. It's important to seek professional advice to resolve the issue and regain comfort.

YeahSmile - Cancun · Answer

What’s Causing the Pressure?
-It’s possible that the crown and veneer were placed too tightly together, creating excess pressure in the contact area (where the teeth meet). This can irritate the surrounding gum and bone and cause the sensation you’re describing.-The difficulty flossing also suggests the contact point may be too tight or uneven.
What Can Be Done?
-Adjust the Contact AreaYour dentist can use a tool called a dental strip or fine polishing instruments to carefully adjust the contact area between the crown and veneer. This reduces the pressure without compromising the fit.The goal is to allow just enough space for the floss to glide smoothly while keeping the teeth stable.
-Check Your Bite (Occlusion)Sometimes, if your teeth don’t meet evenly when you bite or clench, it can create extra pressure in certain areas. Your dentist can adjust the way your teeth come together to relieve this.
-Relieve Gum IrritationIf the tight contact has caused inflammation, your dentist may clean the area and recommend a medicated rinse or gel to soothe it.
Tools to Relieve Pressure at Home
While it’s best for a dentist to make adjustments, interproximal brushes or soft floss threaders can sometimes help clean and slightly relieve tightness between teeth temporarily.However, this won’t fix the root issue&mdash;it’s important to get professional help for a long-term solution.
Don’t Ignore the Problem
If your current dentist isn’t providing a solution, consider seeking a second opinion. Long-term pressure like this can lead to gum inflammation or even bone irritation. A small adjustment can make a big difference in your comfort.

Miller Vieira Paula, DDS · Answer

Based on what you’ve described, it sounds like there may be excessive contact or tight spacing between the crown and veneer, which can indeed create pressure and discomfort. This sensation can often radiate, especially if it’s affecting the periodontal ligament around those teeth.
In cases like these, there are solutions available to help relieve the pressure:
1. Adjustment of Contact Points: Dentists can use specialized dental instruments to carefully adjust the contact points between veneers and crowns. This typically involves fine-tuning the interproximal space (the area between the teeth) to alleviate the tightness and allow for proper flossing.
2. Relief with Dental Floss or Interdental Tools: To help relieve the pressure at home temporarily, using waxed floss or an interdental file might help. But it’s important to do this gently to avoid damaging the veneers or crown.
3. Occlusal Adjustment: Since you’re feeling pressure when clenching, a slight adjustment to your bite (occlusion) might also be needed. A dentist with experience in occlusal adjustments can identify and relieve pressure points that are causing tension when your teeth come together.
Given the ongoing discomfort, I would recommend consulting a specialist, such as a prosthodontist, who has extensive experience with veneers and crowns. They can assess the fit, ensure proper spacing, and address any occlusal issues to improve your comfort. 
Your comfort and peace of mind are important, and there are definitely options to relieve this persistent pressure.
Best regards, Dr. Miller Vieira Paula.

Pressure between veneers radiating though bones

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Pressure between veneers radiating though bones

Answers (3)

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